| Doctor Name: | MRS. JENNIFER BLOSE |
| NPI Number: | 1609231935 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | PT022879 |
| Business Practice Address: | 900 Manchester Rd Fairview, PA - 164151703 |
| Business Phone Number: | 8148384822 |
| Business Fax Number: | 8148338356 |
| Mailing Address: | 1100 Shawnee Road, LIMA |
| State: | OH |
| Postal Code: | 45805 |
| Phone Number: | 4199992030 |
| Fax Number: | 4199910909 |
| NPI Enumeration Date: | 12/31/2015 |
| NPI Last Update Date: | 12/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT022879 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |